Natale, Astrea Germaine `11'i
•
NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Vital Records
Name First Middle Last Sex
Astrea Germaine Natale Female
Date of Death Age If Veteran of U.S.Armed Forces,
06/02/2021 41 Years War or Dates Unknown
Place of Death Hospital,Institution or
WCity,Town or Village Fort Edward Town Street Address 27B Park Avenue, Fort Edward Town,New York 12828
p Manner of Death Natural Cause ❑Accident ❑Homicide 0 Suicide ❑Undetermined ❑X Pending
W U Circumstances Investigation
W Medical Certifier Name Title
0 Robert Lemieux Coroner
Address
415 Lower Main Street,Hudson Falls Village,New York 12839
Death Certificate Filed District Number Register Number
City,Town or Village Fort Edward 5755 30
❑Burial Date Cemetery,Crematory or Facility Name
06/07/2021 Pine View Crematorium
Entombment Address
Cremation Queensbury Town,New York
Donation
g ❑Removal Date Place Removed
- and/or and/or Held
N Hold Address
0
a. Date Point of
U) ❑Transportation Shipment
Q by Common
Carrier Destination
Date Cemetery Address
Disinterment
Reinterment Date Cemetery Address
Permit Issued to Registration Number
Name of Funeral Home Carleton Funeral Home Inc 00281
Address
68 Main Street,P.O.Box 67,Hudson Falls,New York 12839
Name of Funeral Firm Making Disposition or to Whom
f— Remains are Shipped,If Other than Above
Address
CC
W
a' Permission is hereby granted to dispose of the human remains described above as indicated.
Date Issued 06/07/2021 Registrar of Vital Statistics /?imeeL Maloneygkctronica1T Sand)
(signature)
District Number 5755 Place Fort Edward, New York
I certify that the remains of the decedent identified above were disposed of in accordance with this permit on:
II— ZALL-
2 W Date of Disposition Ulf I Place of Disposition (address)
W
CO 0 r(section) (!ot number) (grave number)
O Name of Sexton or Person in Char f Premises n� �,
(plaice print) �`
W Signature Title 6 rAM191e
DOH-1555(07/18)p 1 of 2
Public Health Law Sec. 4145(2b) 14 8 4 I
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#